Organization
EVELYN ARCHER MDPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EVELYN ARCHER MD (OWNER)
(806) 358-8392
Entity
Organization
Contact information
Practice address
1900 S COULTER ST, UNIT B, AMARILLO, TX 79106-1784
(806) 358-8395
Mailing address
PO BOX 8337, AMARILLO, TX 79114-8337
(806) 355-6593
(806) 352-8774
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
H0139
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070016266
RAILROAD MEDICARE
—
05
—
098853701
—
TX
01
—
126925100
FIRSTCARE
—
Enumeration date
08/05/2006
Last updated
05/20/2008
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